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Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments
This article addresses a gap in the literature regarding the design and implementation of health and well-being strategies by local governments. It presents a conceptual framework that can help local governments to include health and well-being among their political priorities by promoting the parti...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341049/ https://www.ncbi.nlm.nih.gov/pubmed/37444098 http://dx.doi.org/10.3390/ijerph20136250 |
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author | Santinha, Gonçalo Fernandes, Alexandre Oliveira, Rafaela Rocha, Nelson Pacheco |
author_facet | Santinha, Gonçalo Fernandes, Alexandre Oliveira, Rafaela Rocha, Nelson Pacheco |
author_sort | Santinha, Gonçalo |
collection | PubMed |
description | This article addresses a gap in the literature regarding the design and implementation of health and well-being strategies by local governments. It presents a conceptual framework that can help local governments to include health and well-being among their political priorities by promoting the participation of local stakeholders and the community in general. The article also highlights the important role that local governments play in public health, especially in times of crisis, such as the COVID-19 pandemic. To demonstrate the approach, the manuscript explores the recent shift toward decentralization in Portugal and the resulting emphasis on local governments leading new approaches to health governance. The planning process for Arouca’s Health Strategy, an inland municipality, is used as a case study to demonstrate the approach, which emphasizes the meaningful participation of the entire local community. The article concludes by noting that there is still significant room for improvement in all areas related to health and well-being and a need to adopt new multistakeholder governance arrangements to sustain the institutional capacity for upcoming strategies. |
format | Online Article Text |
id | pubmed-10341049 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103410492023-07-14 Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments Santinha, Gonçalo Fernandes, Alexandre Oliveira, Rafaela Rocha, Nelson Pacheco Int J Environ Res Public Health Article This article addresses a gap in the literature regarding the design and implementation of health and well-being strategies by local governments. It presents a conceptual framework that can help local governments to include health and well-being among their political priorities by promoting the participation of local stakeholders and the community in general. The article also highlights the important role that local governments play in public health, especially in times of crisis, such as the COVID-19 pandemic. To demonstrate the approach, the manuscript explores the recent shift toward decentralization in Portugal and the resulting emphasis on local governments leading new approaches to health governance. The planning process for Arouca’s Health Strategy, an inland municipality, is used as a case study to demonstrate the approach, which emphasizes the meaningful participation of the entire local community. The article concludes by noting that there is still significant room for improvement in all areas related to health and well-being and a need to adopt new multistakeholder governance arrangements to sustain the institutional capacity for upcoming strategies. MDPI 2023-06-29 /pmc/articles/PMC10341049/ /pubmed/37444098 http://dx.doi.org/10.3390/ijerph20136250 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Santinha, Gonçalo Fernandes, Alexandre Oliveira, Rafaela Rocha, Nelson Pacheco Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments |
title | Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments |
title_full | Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments |
title_fullStr | Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments |
title_full_unstemmed | Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments |
title_short | Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments |
title_sort | designing a health strategy at local level: a conceptual framework for local governments |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10341049/ https://www.ncbi.nlm.nih.gov/pubmed/37444098 http://dx.doi.org/10.3390/ijerph20136250 |
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